Healthcare Provider Details

I. General information

NPI: 1750715892
Provider Name (Legal Business Name): SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2013
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 W AIRLINE HWY
LA PLACE LA
70068-3336
US

IV. Provider business mailing address

158 REGAL ROW
HOUMA LA
70360-6097
US

V. Phone/Fax

Practice location:
  • Phone: 985-652-8444
  • Fax: 985-652-2450
Mailing address:
  • Phone: 985-857-3748
  • Fax: 985-858-2934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number148
License Number StateLA

VIII. Authorized Official

Name: MRS. MISTY HEBERT
Title or Position: DEPUTY DIRECTOR
Credential: LPC
Phone: 985-876-8812